ZUG, Switzerland, August 10, 2023 – MoonLake Immunotherapeutics (NASDAQ:MLTX) (“MoonLake” or the “Company”), a clinical-stage biotechnology company focused on creating next-level therapies for inflammatory diseases, today announced its financial results for the second quarter of 2023.
MoonLake continues to make significant progress with the clinical development of sonelokimab, which is currently being investigated in two Phase 2 clinical trials: the first, “MIRA”, in moderate-to-severe hidradenitis suppurativa (HS) and the second, “ARGO”, in active psoriatic arthritis (PsA). Sonelokimab has already been successfully assessed in a randomized, placebo-controlled, Phase 2b trial in patients with moderate-to-severe plaque-type psoriasis, in which it demonstrated a rapid and durable skin clearance (Psoriasis Area Severity Index (PASI) 100 response). Sonelokimab is an investigational Nanobody® designed to inhibit IL-17F in addition to IL-17A and therefore could represent a major improvement in treating inflammation in these dermatological and rheumatological diseases. The Nanobody’s® smaller size versus traditional antibodies and its albumin-binding domain provide an opportunity for further efficacy. The MIRA and the ARGO trials both achieved their target patient enrollment and randomization faster than anticipated, reflecting the Company’s strong execution and interest from physicians and patients in MoonLake’s clinical development programs.
Dr. Jorge Santos da Silva, Chief Executive Officer of MoonLake Immunotherapeutics, said: “This quarter has been transformational for MoonLake. The positive Phase 2 results from our MIRA trial were a landmark milestone. We look ahead with confidence to a number of key catalysts for sonelokimab this year, including the final 24-week data in HS, expected in mid-October, and the topline 12-week data in active PsA, expected in the first half of November, and to creating long-term value for both patients and shareholders.”
Second Quarter 2023 Business Highlights (including Post-Quarter End):
Second Quarter 2023 Financial Highlights:
Matthias Bodenstedt, Chief Financial Officer of MoonLake Immunotherapeutics, said: “The past quarter has seen MoonLake raise significant new funds, enabling us to fund the advancement of sonelokimab into multiple Phase 3 programs and putting us in a very strong position for the next phase of growth. We welcome our new shareholders who recognize the value of our Nanobody® and are as excited as we are by our continued advancement of sonelokimab’s clinical development to address some of the fastest growing markets in inflammatory diseases.”
Important upcoming anticipated events and next expected data readouts for MoonLake:
September:
October:
November:
December:
Early 2024:
Calendar of upcoming investor conferences in the second half of 2023:
Jefferies London Healthcare Conference 2023: November 14-16
About MoonLake Immunotherapeutics
MoonLake Immunotherapeutics is a clinical-stage biopharmaceutical company unlocking the potential of sonelokimab, a novel investigational Nanobody® for the treatment of inflammatory disease, to revolutionize outcomes for patients. Sonelokimab inhibits IL-17A and IL-17F by inhibiting the IL-17A/A, IL-17A/F, and IL-17F/F dimers that drive inflammation. The company’s focus is on inflammatory diseases with a major unmet need, including hidradenitis suppurativa and psoriatic arthritis – conditions affecting millions of people worldwide with a large need for improved treatment options. MoonLake was founded in 2021 and is headquartered in Zug, Switzerland. Further information is available at www.moonlaketx.com.
About Nanobodies®
Nanobodies® represent a new generation of antibody-derived targeted therapies. They consist of one or more domains based on the small antigen-binding variable regions of heavy-chain-only antibodies (VHH). Nanobodies® have a number of potential advantages over traditional antibodies, including their small size, enhanced tissue penetration, resistance to temperature changes, ease of manufacturing, and the ability to design multivalent therapeutic molecules with bespoke target combinations.
About Sonelokimab
Sonelokimab (M1095) is an investigational ~40 kDa humanized Nanobody® consisting of three VHH domains covalently linked by flexible glycine-serine spacers. With two domains, sonelokimab selectively binds with high affinity to IL-17A and IL-17F, thereby inhibiting the IL-17A/A, IL-17A/F, and IL-17F/F dimers. A third central domain binds to human albumin, facilitating further enrichment of sonelokimab at sites of inflammatory edema.
Sonelokimab is currently being assessed in two ongoing trials, the Phase 2 MIRA trial in HS and the Phase 2 ARGO trial in PsA. The MIRA trial met its primary endpoint, the Hidradenitis Suppurativa Clinical Response (HiSCR) 75 which is a higher measure of clinical response versus the HiSCR50 measure used in other clinical trials. A significantly greater proportion of patients treated with both sonelokimab 120mg and 240mg achieved HiSCR75 compared to those on placebo at week 12. The positive results suggest that, as early as week 12, sonelokimab, relative to placebo, reaches the highest clinical activity among all other therapies tested in similarly stringent pivotal-like trials. The trial proceeds to week 24, with a 4-week safety follow-up.
Sonelokimab has also been assessed in a randomized, placebo-controlled Phase 2b trial in 313 patients with moderate-to-severe plaque-type psoriasis. Sonelokimab demonstrated a rapid and durable clinical response (Investigator’s Global Assessment Score 0 or 1, Psoriasis Area and Severity Index 90/100) in patients with moderate-to-severe plaque-type psoriasis. Sonelokimab was generally well tolerated, with a safety profile similar to the active control, secukinumab (Papp KA, et al. Lancet. 2021; 397:1564-1575).
In an earlier Phase 1 trial in patients with moderate-to-severe plaque-type psoriasis, sonelokimab has been shown to decrease (to normal skin levels) the cutaneous gene expression of pro-inflammatory cytokines and chemokines (Svecova D. J Am Acad Dermatol. 2019;81:196–203). Recently, a global phase 2 trial in psoriatic arthritis (NCT05640245, M1095-PSA-201, “ARGO”) including multiple arms and over 200 patients has been initiated.
Sonelokimab is not yet approved for use in any indication.
About the MIRA trial
The MIRA trial (M1095-HS-201) is a global, randomized, double-blind, placebo-controlled trial to evaluate the efficacy and safety of the Nanobody® sonelokimab, administered subcutaneously, in the treatment of adult patients with active moderate to severe HS. The trial recruited 234 patients, with the aim to evaluate two different doses of sonelokimab, with placebo control and adalimumab as an active reference arm. The primary endpoint of the trial is the percentage of participants achieving Hidradenitis Suppurativa Clinical Response 75 (HiSCR75), defined as a ≥75% reduction in total abscess and inflammatory nodule (AN) count with no increase in abscess or draining tunnel count relative to baseline. The trial also evaluates a number of secondary endpoints, including the proportion of patients achieving HiSCR50, the change from baseline in International Hidradenitis Suppurativa Severity Score System (IHS4), the proportion of patients achieving a Dermatology Life Quality Index (DLQI) total score of ≤5, and the proportion of patients achieving at least 30% reduction from baseline in Numerical Rating Scale (NRS30) in the Patient’s Global Assessment of Skin Pain (PGA Skin Pain). Further details are available on: https://www.clinicaltrials.gov/ct2/show/NCT05322473
About the ARGO trial
The ARGO trial (M1095-PSA-201) is a global, randomized, double-blind, placebo-controlled trial to evaluate the efficacy and safety of the Nanobody® sonelokimab, administered subcutaneously, in the treatment of adult patients with active PsA. The trial is designed to evaluate different doses of sonelokimab, with placebo control and adalimumab as an active reference arm. The primary endpoint of the trial is the percentage of participants achieving ≥50% improvement in signs and symptoms of disease from baseline, compared to placebo, as measured by the American College of Rheumatology (ACR) 50 response. The trial also evaluates a number of secondary endpoints, including improvement compared to placebo in ACR70, complete skin clearance as measured by at least a 100% improvement in the Psoriasis Area and Severity Index, physical function as measured by the Health Assessment Questionnaire-Disability Index, enthesitis as measured by the Leeds Enthesitis Index and pain as measured by the Patients Assessment of Arthritis Pain. Further details are available on: https://clinicaltrials.gov/ct2/show/NCT05640245
Cautionary Statement Regarding Forward Looking Statements
This press release contains certain “forward-looking statements” within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements include, but are not limited to, statements regarding MoonLake’s expectations, hopes, beliefs, intentions or strategies regarding the future including, without limitation, statements regarding: plans for and timing of clinical trials, including expectations regarding the timing and outcome of the MIRA and ARGO trials, the efficacy and safety of sonelokimab for the treatment of HS and PsA, including in comparison to existing standards or care or other competing therapies, clinical trials and research and development programs and the anticipated timing of the results from those studies and trials, the timing for meeting with regulatory authorities and our anticipated cash usage and the period of time we anticipate such cash to be available. In addition, any statements that refer to projections, forecasts, or other characterizations of future events or circumstances, including any underlying assumptions, are forward- looking statements. The words “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “might,” “plan,” “possible,” “potential,” “predict,” “project,” “should,” “would” and similar expressions may identify forward-looking statements, but the absence of these words does not mean that statement is not forward looking.
Forward-looking statements are based on current expectations and assumptions that, while considered reasonable by MoonLake and its management, as the case may be, are inherently uncertain. New risks and uncertainties may emerge from time to time, and it is not possible to predict all risks and uncertainties. Actual results could differ materially from those anticipated in such forward-looking statements as a result of various risks and uncertainties, which include, without limitation, risks and uncertainties associated with MoonLake’s business in general and limited operating history; expectations regarding the timing and outcome of the MIRA and ARGO trials; positive results from a clinical trial may not necessarily be predictive of the results of future or ongoing clinical studies; MoonLake's substantial dependence on the success of its Nanobody® sonelokimab; state and federal healthcare reform measures that could result in reduced demand for MoonLake’s product candidates and reliance on third parties to conduct and support its preclinical studies and clinical trials.
Nothing in this press release should be regarded as a representation by any person that the forward-looking statements set forth herein will be achieved or that any of the contemplated results of such forward-looking statements will be achieved. You should not place undue reliance on forward-looking statements in this press release, which speak only as of the date they are made and are qualified in their entirety by reference to the cautionary statements herein. MoonLake does not undertake or accept any duty to release publicly any updates or revisions to any forward-looking statements to reflect any change in its expectations or in the events, conditions or circumstances on which any such statement is based.
CONTACT
MoonLake Immunotherapeutics Investors
Matthias Bodenstedt, CFO
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MoonLake Immunotherapeutics Media
Patricia Sousa, Director Corporate Affairs
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Consilium Strategic Communications
Mary-Jane Elliott, Ashley Tapp,
Namrata Taak
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MOONLAKE IMMUNOTHERAPEUTICS
CONDENSED CONSOLIDATED BALANCE SHEETS
(Amounts in USD, except share data)
| June 30, 2023 (Unaudited) | March 31, 2023 (Unaudited) | |||
| Current assets | ||||
| Cash and cash equivalents | $ 501,786,997 | $ 50,129,197 | ||
| Short-term marketable debt securities | — | 12,920,960 | ||
| Other receivables | 619,767 | 378,445 | ||
| Prepaid expenses | 3,960,383 | 3,075,862 | ||
| Total current assets | 506,367,147 | 66,504,464 | ||
| Non-current assets | ||||
| Operating lease right-of-use assets | 211,238 | 246,256 | ||
| Property and equipment, net | 42,810 | 46,099 | ||
| Total non-current assets | 254,048 | 292,355 | ||
| Total assets | $ 506,621,195 | $ 66,796,819 | ||
| Current liabilities | ||||
| Trade and other payables | $ 4,359,923 | $ 3,827,403 | ||
| Short-term portion of operating lease liabilities | 158,221 | 155,173 | ||
| Accrued expenses and other current liabilities | 2,616,482 | 3,296,839 | ||
| Total current liabilities | 7,134,626 | 7,279,415 | ||
| Non-current liabilities | ||||
| Long-term portion of operating lease liabilities | 53,017 | 91,081 | ||
| Pension liability | 323,597 | 314,174 | ||
| Total non-current liabilities | 376,614 | 405,255 | ||
| Total liabilities | 7,511,240 | 7,684,670 | ||
| Commitments and contingencies (Note 15) | ||||
| Equity (deficit) | ||||
| Class A Ordinary Shares: $0.0001 par value; 500,000,000 shares authorized; 53,486,810 shares issued and outstanding as of June 30, 2023; 39,154,203 shares issued and outstanding as of March 31, 2023 | 5,349 | 3,916 | ||
| Class C Ordinary Shares: $0.0001 par value; 100,000,000 shares authorized; 8,959,195 shares issued and outstanding as of June 30, 2023; 13,546,908 shares issued and outstanding as of March 31, 2023 | 896 | 1,355 | ||
| Additional paid-in capital | 589,549,979 | 131,308,849 | ||
| Accumulated deficit | (99,794,347) | (89,655,068) | ||
| Accumulated other comprehensive income | 35,124 | 340,108 | ||
| Total shareholders’ equity (deficit) | 489,797,001 | 41,999,160 | ||
| Noncontrolling interests | 9,312,954 | 17,112,989 | ||
| Total equity | 499,109,955 | 59,112,149 | ||
| Total liabilities and equity | $ 506,621,195 | $ 66,796,819 | ||
MOONLAKE IMMUNOTHERAPEUTICS
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
(Unaudited)
(Amounts in USD, except share and per share data)
| For the Three Months Period Ended | For the Six Months Period Ended | |||||
| June 30, | March 31, | June 30, | ||||
| 2023 | 2023 | 2023 | ||||
| Operating expenses | ||||||
| Research and development | $ (8,703,849) | $ (7,415,097) | $ (16,118,949) | |||
| General and administrative | (4,482,041) | (5,516,469) | (9,998,510) | |||
| Total operating expenses | (13,185,890) | (12,931,566) | (26,117,459) | |||
| Operating loss | (13,185,890) | (12,931,566) | (26,117,459) | |||
| Other income, net | 842,652 | 723,589 | 1,566,242 | |||
| Loss before income tax | (12,343,238) | (12,207,977) | (24,551,217) | |||
| Income tax expense | (10,149) | (11,010) | (21,157) | |||
| Net loss | $ (12,353,387) | $ (12,218,987) | $ (24,572,374) | |||
| Of which: net loss attributable to controlling interests shareholders | (10,139,279) | (9,004,856) | (19,144,135) | |||
| Of which: net loss attributable to noncontrolling interests shareholders | (2,214,108) | (3,214,131) | (5,428,239) | |||
| Net unrealized loss on marketable securities and short term investments | (415,225) | 24,472 | (390,753) | |||
| Actuarial gain (loss) on employee benefit plans | (16,336) | (42,144) | (58,481) | |||
| Other comprehensive income (loss) | (431,561) | (17,672) | (449,234) | |||
| Comprehensive loss | $ (12,784,948) | $ (12,236,659) | $ (25,021,608) | |||
| Comprehensive loss attributable to controlling interests shareholders | (10,488,185) | (9,017,481) | (19,505,667) | |||
| Comprehensive loss attributable to noncontrolling interests | (2,296,763) | (3,219,178) | (5,515,941) | |||
| Weighted-average number of Class A Ordinary Shares, basic and diluted | 43,718,464 | 39,061,977 | 41,403,084 | |||
| Basic and diluted net loss per share attributable to controlling interests shareholders | $ (0.23) | $ (0.23) | $ (0.46) | |||
| Last Trade: | US$54.76 |
| Daily Change: | 0.36 0.66 |
| Daily Volume: | 55,230 |
| Market Cap: | US$3.450B |
November 13, 2024 November 07, 2024 August 07, 2024 | |
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